Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YOUNG S KIM
Active Sole ProprietorYOUNG S KIM is a Eyewear Supplier healthcare provider located in SAN DIEGO, California. NPI 1114802659 is currently active in the NPPES registry. Verify at CMS.
Eyewear Supplier · SAN DIEGO, CA
Registration Details
- NPI Number
- 1114802659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2025 (1.0438681358274 yrs)
- Last Updated
- Aug 6, 2025
- License
-
RDO70566 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4619 CONVOY ST # A6SAN DIEGO, CA, 921112318Browse CA providers · Browse ZIP 92111
- Phone
- 8588808945
- Primary Specialty
-
Eyewear Supplier
332H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.